EM Cases · Pulmonary oedema
Hypertensive acute pulmonary oedema — CPAP and nitrate resus station
ACEM Fellowship OSCE resus station testing cardiogenic pulmonary oedema recognition, first-line CPAP, vasodilator therapy with GTN, cautious diuretic use, and intubation triggers.
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Study tools
Target exams
ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
A 70-year-old man with sudden severe dyspnoea, hypertension, and bilateral crackles who is tiring on oxygen alone.
Station brief
Format. Clinical-management (resus) station, 11 minutes. You are the EM consultant.
Candidate instructions. Manage acute respiratory failure from pulmonary oedema. Prioritise ventilatory support and afterload reduction. [1]
References1ShowHide
- [1]McDonagh TA, Metra M, Adamo M, et al. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J, 2021.PMID 34447992